Pediatric Exam #1 Quizzes

A nurse in the pediatric clinic is assessing an 8-year-old child who has had asthma since infancy. What clinical finding requires immediate intervention?

Audible wheezing

The nurse, talking with the parents of a toddler who is struggling with toilet training, reassures them that their child is demonstrating a typical developmental stage. According to Erikson, which developmental stage will the nurse document in the medical record for this toddler?

Autonomy vs shame & doubt

A 2-year-old child is admitted with multiple fractures and bruises, and abuse is suspected. Which nursing assessment findings support this suspicion?

Difficulty consoling Underdevelopment for age

Which pain scale should a nurse use to measure the intensity of pain in toddlers?

FACES scale

An infant with bronchiolitis caused by respiratory syncytial virus (RSV) is admitted to the pediatric unit. What does the nurse expect the prescribed treatment to include?

Humidified cool air & adequate hydration

The parents of an 8-year-old state that their son seems very interested in trying new activities. When the parents ask for suggested activities for this age child, the nurse recommends scouts as an activity that will foster growth and development. In which stage of Erikson's "psychosocial stages of development" is this child?

Industry vs inferiority

An infant is admitted to the pediatric unit with bronchiolitis caused by respiratory syncytial virus (RSV). What interventions are appropriate nursing care for the infant?

Instilling saline nose drops Maintaining contact precautions Suctioning mucus with a bulb syringe

A 6-month-old infant is brought to the emergency department in severe respiratory distress. A diagnosis of respiratory syncytial virus (RSV) infection is made, and the infant is admitted to the pediatric unit. What should be included in the nursing plan of care?

Maintain standard & contact precautions

A nurse manager is providing a class on cystic fibrosis for the pediatric staff nurses. Physiologic adaptations to cystic fibrosis are a result of which problem?

Pathology of mucus secreting glands

The nurse is providing care to an infant who is diagnosed with bronchiolitis. Which breath sounds indicate the infant is experiencing respiratory distress?

Wheezing Grunting

Several hours after admission of a child to the pediatric unit with laryngotracheobronchitis (viral croup), the nurse determines that tachypnea and tachycardia, accompanied by intercostal and substernal retractions and increased restlessness, have developed. What is the priority nursing action?

Reporting the respiratory status to the practitioner

An adolescent is accompanied by the mother for an annual physical examination. The nurse is aware of privacy issues related to the adolescent. While the mother is in the room, the nurse should avoid which questions? Select all that apply.

Sexual activity Cigarette smoking Alcohol use

Which assessment findings should the nurse expect when caring for a child with cystic fibrosis? (Select all that apply.)

Steatorrhea Foul-smelling stools Delayed growth Pulmonary congestion

A nurse is performing a respiratory assessment of an 8-month-old child with the diagnosis of viral pneumonia. The nurse identifies bronchial breath sounds over areas of consolidation, mild substernal retractions, profuse mucus production, pallor, and a temperature of 102° F (38.9° C). What is the priority nursing action?

Suction the nasopharynx so a patent airway can be maintained

The nurse instructs parents to avoid placing their infant in a prone position while sleeping. Which risk does the nurse seek to prevent with this instruction?

Sudden infant death syndrome

Which nursing actions are developmentally appropriate when caring for a hospitalized preschool-age child?

Using toys for distraction during a painful procedure Offering medical equipment to play with prior to a procedure

Which major gross motor development skills would the nurse expect to see demonstrated during a teaching session with parents of a 12-month old client who is entering the toddler stage of development?

Walking alone

The nurse educates the parents of a toddler-age client regarding play and toys appropriate for this stage of development. Which parental responses indicate correct understanding of the information presented?

We should expect our child to participate in parallel play We should provide our child with finger paints to foster creativity We should provide our child with toys that foster her imagination, such as a doll

What assessment finding in a newborn is suggestive of cystic fibrosis?

Abdominal distention

A 6-year-old child with a leg fracture of suspicious origin is brought into the emergency department by the mother and the mother's boyfriend. It is the child's first visit to this hospital. After assessing the child, a nurse anticipates that the healthcare provider will order a skeletal survey. Why is a skeletal survey the preferred diagnostic tool?

The skeletal history of the current fracture and any previous healing or healed fractures are identified.